Pediatric Dentists - StafGo Health

Dental Billing And Collection Services Focused On Pediatric Dentists

In pediatric dentistry facilities, dentists provide oral care specialized to children's age and developmental stage. Dentists focus on preventive measures like checkups and cleanings, as well as treatment for common issues like cavities and injuries children face on a day-to-day basis. At StafGo Health, our team of experts provides specialized dental billing and collection services to pediatric dental practices according to their unique needs. From preventive care to restorative procedures and sedation dentistry, these practices require accuracy in the billing process to avoid error and disharmony.

Optimize Your Pediatric Dental Billing With Our Accurate CDT Coding

CDT codes are essential to ensure accurate claim submissions and on-time reimbursement of the claim. At StafGo Health, we ensure that the ADA claims are submitted with accurate CDT combinations associated with pediatric claims such as D0120 for periodic oral evaluations, D0145 for oral evaluations of patients under three years old, D1120 for prophylaxis (cleaning) for children, D1208 for topical fluoride treatments, D1351 for the application of dental sealants, D2930 for stainless steel crowns in primary teeth, and D3220 for therapeutic pulpotomies.

Why Outsource Dental Billing And RCM To Stafgo Health For Your Pediatric Dental Practice?

Outsourcing your dental billing and revenue cycle management (RCM) to StafGo Health allows your practice to focus on the best care for children without worrying about managing complex billing processes. Pediatric dental practices are affected by unique challenges, frequent preventive procedures, age-specific treatments, sedation services, and payer-specific guidelines. These factors make accurate coding, timely submissions, and persistent follow-up critical to your financial health.

Common RCM Challenges Faced by Pediatric Dentists

Medicaid Complexity and Compliance - Medicaid or CHIP has strict documentation requirements, frequent policy changes, and lower reimbursement rates, and a fallacy in the application of codes or eligibility verification often results in denials or payment delays.
High Volume of Preventive Services - High volume of preventive services—like fluoride applications (D1208) and sealants (D1351), is also cause problems sometimes. Making accurate and efficient billing is very important to avoid revenue loss in high volumes of preventive services.
Frequent Need for Pre-Authorizations - Failing to obtain prior authorization for several procedures, like sedation, space maintainers, or hospital-based treatments, in advance or on time can cause claim denials and lost revenue.
Sedation and Anesthesia Billing Complexity - Specific billing and documents are required in procedures involving deep sedation (D9223) or general anesthesia. If these are misunderstood or misapplied, this can lead to denied or underpaid claims.
Managing Guardians and Multiple Payers - When billing for children, it generally requires coordination with parents, guardians, and dual insurance coverages, which can lead to confusion, delays, and additional follow-ups if not handled properly.
Lack of Internal RCM Oversight - Absence of dedicated billing staff or RCM reporting tools restricts the Pediatric dentists from having insight into important KPIs like aging accounts, denial rates, and collection efficiency.

Solving Your Pediatric Dental Practice’s Challenges with StafGo Health

Expert CDT Coding for Pediatric Care - StafGo Health has a team of certified coders who ensure accurate coding for all procedures. Our team helps you avoid coding errors that delay reimbursement.
Medicaid and Insurance Mastery - Our team is well aware of all the guidelines of Medicaid and CHIP across multiple states. Our team verifies the eligibility in real time, manages pre-authorizations for your practice in advance, and makes sure claims are fully compliant and audit-ready.
Claim Denial Prevention and Recovery - Our team not only submits the claim on your behalf but also tracks it until payment is received at your end. Denials are addressed swiftly with corrected claims and strong appeals that minimize revenue loss.
Family-Friendly Billing and Collections - Our team will help you deliver a positive financial experience for parents through clear and concise communications, multiple flexible payment options, and aggressive follow-up, which could enhance satisfaction while improving collections.
Actionable RCM Reporting - With the help of our dedicated team, you’ll receive detailed insights into billing performance, A/R trends, and collections, which enables you to make informed future decisions without managing the back office yourself.